Anthem: Company Overview

With approximately 40 million members, Anthem is one of the largest providers of health insurance plans in the country.

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About Anthem

In 2004, WellPoint Health Networks Inc and Anthem, Inc. merged and became the nation’s leading health benefits company. In December 2014 WellPoint Inc. changed its corporate name to Anthem, Inc. The Anthem companies offer health care plans and related services like dental, vision, behavioral health, life insurance and disability insurance benefits as well as long-term care insurance and flexible spending accounts. Anthem has about 40 million members and is ranked 33rd on the Fortune 500.

The Anthem Inc. headquarters are located in Indianapolis, Indiana. It is an independent licensee of Blue Cross and Blue Shield Association, serving California, Colorado, Connecticut, Georgia, Indiana, Kentucky, Maine, Missouri, Nevada, New Hampshire, New York, Ohio, Virginia and Wisconsin and specialty plan members in other states.

Anthem existed prior to the merger with WellPoint. In 1993, it merged with Blue Cross and Blue Shield. In 1995, Anthem merged with Community Mutual, a Blue Cross and Blue Shield plan in Ohio. In 1996, WellPoint Health Networks and Blue Cross of California merged and then acquired the Group Life and Health Subsidiary of Massachusetts Mutual Life Insurance Company. In 1997, Anthem merged with Blue Cross and Blue Shield of Connecticut. In 1997, Anthem acquired Blue Cross and Blue Shield of New Hampshire and Blue Cross and Blue Shield of Colorado and Nevada. In 2000, Anthem acquired Blue Cross Blue Shield of Maine. That same year, WellPoint acquired Rush Prudential Health Plans of Illinois and the mail-service pharmacy fulfillment center of RxAmerica.

In 2001 WellPoint acquired Cerulean Companies Inc., the parent company of Blue Cross and Blue Shield of Georgia. In 20 Anthem acquired Trigon Healthcare of Virginia, a Blue Cross and Blue Shield plan. That same year WellPoint Health Networks acquired RightCHOICE, the parent company of Blue Cross and Blue Shield of Missouri and HealthLink, and MethodistCare, an HMO in Texas.

In 2003, WellPoint Health Networks acquired Golden West Dental and Vision in California. It also acquired Cobalt Corp. and its family of companies, including Blue Cross and Blue Shield United of Wisconsin. In 2004, Anthem and WellPoint Health Networks merged to become WellPoint, Inc. In 2005, they acquired Lumenos, the market leader in consumer-driven health plans. WellPoint Inc. then merged with WellChoice. In 2007, WellPoint Inc. acquired imaging Management Holdings, LLC, whose sole business is the holding company parent of American Imaging Management, In (AIM). AIM is a radiology benefit management and technology company.

In 2008 WellPoint acquired Resolution Health, Inc, a personal health care guidance company. In 2009, WellPoint acquired DeCare Dental, one of the largest administrators of dental plans. WellPoint then sold NextRX subsidiaries to Express Scripts. It also sold its commercial UniCare membership in Illinois and Texas to Health Care Service Corporation.

In 2011, Wellpoint acquired CareMore Health Group, a senior health care delivery program that includes Medicare Advantage plans and certain clinics. In 2012, WellPoint acquired 1-800-CONTACTS, Inc, which sells contact lenses, eyeglasses and more. WellPoint also acquired Amerigroup Corporation, one of the country’s leading managed care companies which focuses on underserved populations.

In 2014, WellPoint changed its corporate name to Anthem, Inc. In 2015, Anthem Inc. acquired Simply Healthcare Holdings, Inc., a managed care program for recipients of Medicaid and Medicare in the state of Florida. In 2017, Anthem acquired Health Sun, a fast-growing integrated Medicare Advantage health plan and health care delivery network in Florida.

Anthem Facts & Ratings

Year Founded 2004
Market Share Percentage 6.3%
Financial Strength Excellent
BBB Rating A+
A.M. Best Rating A-
NAIC Complaint Index 0.30% for individual health insurance
NAIC Complaint Index 0.75% for group health insurance

Anthem Mobile App Rating

iOS
     2.2 42 users
Android
     2.9 101 users

The Anthem Medicaid app is only available to policyholders in 5 states. Indiana, Kentucky, Nevada, Wisconsin and Virginia. The app allows users to find doctors, hospitals, and pharmacies, view claims, pay your bill, and manage your prescriptions.

Pros & Cons of Anthem

  • Anthem Inc. is one of the largest providers of health insurance plans in the country, serving approximately 40 million members
  • Anthem Inc. is a financially secure health insurance carrier.
  • Anthem received some bad press in 2014, for refusing to cover the hospitalization of a man with stage 4 cancers. Anthem ended up paying for coverage after public outcry.
  • In 2017, Anthem was fined for untimely responses to complaints.

Anthem Enrollment Process

Anthem is available through the health insurance marketplace or you can get several free quotes here.  Each state has their own marketplace. If you’re not sure where to begin, visit https://www.healthcare.gov/.

How to file a claim with Anthem

Make sure you use the claim form from your benefit plan because each type is different. You’ll need to get procedures codes from your doctor’s office. File the paperwork within the time limit. Include pre-approval if it’s needed.

Common Questions about Anthem

Are the Anthem Insurance reviews positive or negative?

The complaint ratio on individual health plans are lower than complaint ratios on group health plans. Both fall below the average number of complaints compared with other carriers.

Is Anthem medical insurance good?

Anthem is a trusted medical insurance provider which serves millions of Americans. Complaint ratios, however, tend to be a bit higher than average on group insurance plans.

How does Anthem deductible work?

Like most health care plans, Anthem has an annual flat-dollar deductible you must meet before your plan begins to pay your medical expenses.

Is Anthem Blue Cross the same as Blue Shield?

Anthem offers health insurance as a Blue Cross Blue Shield affiliate.

What is the policy number on the Anthem insurance card for?

Your policy number is the same as your ID number, which should be on the front of the card.

Does Anthem insurance cover diabetic supplies?

Your Anthem health insurance will cover diabetic glucose monitoring under the category called Durable Medical Equipment (DME). Costs vary per individual and plan.

What is Anthem HealthKeepers insurance?

Anthem HealthKeepers is a Point of Service (POS) plan. Participating providers in the HealthKeepers network accept a set free as payment for covered services, keeping costs low.

Does Anthem insurance cover weight loss programs?

Some Anthem Blue Cross Blue Shield plans cover weight loss surgery while others do not. Contact your agent to find out if weight-loss surgery is included in your plan.

What states are covered by Anthem Insurance?

Anthem, Inc. serves members in California, Colorado, Connecticut, Georgia, Indiana, Kentucky, Maine, Missouri, Nevada, New Hampshire, New York, Ohio, Virginia and Wisconsin; and specialty plan members in other states.

Is Anthem Blue Cross Blue Shield a PPO or HMO?

Anthem Blue Cross Blue Shield offers both PPO and HMO plans.

What can I buy with my Anthem Over-the-Counter (OTC) card?

Using the card, you will be able to buy over-the-counter medication, insect repellent, diabetic supplies, first-aid supplies and other health-related products.

How many members does Anthem have?

Anthem Inc. has about 40 million members and is ranked #33 on the Fortune 500.

Does Anthem offer individual health insurance?

Yes, Anthem Inc. offers individual and family health insurance plans.

What is Catastrophic coverage plans by Anthem health insurance?

Catastrophic health insurance is designed to cover young people, under the age of 30. Catastrophic health plans have low monthly payments and high deductibles. People over the age of 30 may also be eligible for a hardship or affordability exemption (e.g. hardships due to homelessness or death of a family member).

Does Anthem have a wellness program?

As a member of Anthem health insurance you have access to health and wellness resources and preventive care.

Anthem Contact Info

Address 220 Virginia Avenue Indianapolis, IN 46204
Phone 1 (800) 331-1476
Website https://www.anthem.com/
Facebook https://www.facebook.com/AnthemBlueCrossBlueShield/
Youtube https://www.youtube.com/channel/UCInrJqNqrSpvHwNErijbVyg
Twitter https://twitter.com/AnthemInc
Linkedin https://www.linkedin.com/company/antheminc/

Methodology

The information listed on this page is from our own in house research. It is accurate as of the article publish date. Visit the carrier website for additional information.

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